Analgesic and antitussive compositions and methods

ABSTRACT

THE PRESENT INVENTION RELATES TO NEW AND VALUABLE PHENOL ETHERS CONTAINING BASIC GROUPS AND, MORE PARTICULARLY, TO CYCLOALKANOL-SUBSTITUTED PHENOL ETHERS HAVING BASIC GROUPS, TO A PROCESS OF MAKING SUCH COMPOUNDS, TO PHARMACEUTICAL COMPOITIONS CONTAINING SUCH COMPOUNDS, AND TO A METHOD OF USING SUCH COMPOUNDS AND COMPOSITIONS THERAPEUTICALLY.

United States Patent 3,830,934 ANALGESIC AND ANTITUSSIVE COMPOSITIONS AND IVIETHODS Kurt Flick, Bochum-Stiepel, and Ernst Frankus, Schleckheim, Germany, assignors to Chemie Grunenthal G.m.b.H., Stolberg, Rhineland, Germany No Drawing. Division of application Ser. No. 656,314,

July 27, 1967, now Patent No. 3,652,589, and a continuation-impart of abandoned application Ser. No. 357,024, Mar. 30, 1964. Divided and this application Jan. 13, 1972, Ser. No. 217,690

Int. Cl. A61k 27 /00 US. Cl. 424330 11 Claims ABSTRACT OF THE DISCLOSURE The present invention relates to new and valuable phenol ethers containing basic groups and, more particularly, to cycloalkanol-substituted phenol ethers having basic groups, to a process of making such compounds, to pharmaceutical compositions containing such compounds, and to a method of using such compounds and compositions therapeutically.

This application is a division of Ser. No. 656,314 filed July 27, 1967, now US. Pat. No. 3,652,589, which is a continuation-in-part of Ser. No. 357,024, now abandoned.

Analgesic drugs are well known. Highly efiective analgesic compounds are derived from morphium, such as morphine and other morphine alkaloids. However, it is well known, that morphine as well as other morphium alkaloids produce a number of serious side-effects. More particularly they possess a high degree of tolerance and drug dependence. For this reason numerous attempts have been made to produce analgesic drugs which are substantially free of these side-effects. However, none of these attempts met with complete success.

Foster et al., for instance, disclose in J. Pharmacol. Exptl. Therap., vol. 91, pp. 195 to 209 (1947) (abstracted in Chemical Abstracts vol. 42, p. 983 (1948); see also: Lee et a1. Jubilee Volume Emil Barell pp. 264 to 309, published Basel 1946, abstracted by Lee in Medicinal Chemistry, Vol. I, p. 444, published by John Wiley and Sons, Inc., New York 1951) a number of cyclohexanol derivatives with morphine-like pharmacological activity, in laboratory animals, among them, for instance, 1- (mmethoxy phenyl) 2 piperidino-methyl cyclohexanol- (1) designated by Foster et al. as compound number Nu- 640 and its propionic acid ester. These compounds, however, have not only a Weak analgesic potency as stated and confirmed by Foster et a1. and also in the Lee publications but also a high toxicity so that their therapeutic index is low, rendering the compounds therapeutically useless.

Slomka et al. in I. Am. Pharm. Assn., Scientific Edition, vol. 40, pp. 47 to 51 (1951) disclose compounds of the cyclohexane series which bear a structural relationship to the morphine-type analgesics, among them 1- phenyl 1 acetoxy-Z-dimethylamino methyl cyclohexane hydrochloride and 1 phenyl l-acetoxy-Z-diethylamino methyl cyclohexane hydrochloride.

However, these compounds as well as the unesterified 1 phenyl 1-hydroxy-2-dialkylamino methyl cyclohexane compounds are analgesically ineiTective or, respectively, only slightly elfective but of high toxicity.

It is now an object of the present invention to provide valuable therapeutically useful cycloalkanol-substituted phenol ethers with a basic group in the cycloalkyl ring and with an alkoxy group in m-position to said cycloalkyl ring, which compounds are substantially free of the disadvantages of the known, above-mentioned compounds of similar structure.

Another object of the present invention is to provide a simple and effective process of making such new and valuable phenol ethers.

A further object of the present invention is to provide pharmaceutical compositions containing, as essential active drug, such phenol ethers.

Still another object of the present invention is to provide a method of relieving pain, of suppressing coughing, and of producing other valuable therapeutic effects by the administration to needful patients of such phenol ethers.

Other objects of the present invention and advantageous features thereof will become apparent as the description proceeds.

In principle, the new and valuable phenol ethers, according to the present invention, have the following Formula I CHn-N l R. 3 2)]:

wherein R indicates alkyl containing 1 to 3 carbon atoms or aralkyl, especially phenyl lower alkyl, such as benzyl or phenyl ethyl;

R and R represent alkyl containing 1 to 6 carbon atoms, aralkyl, especially phenyl lower alkyl, or R and R together with the nitrogen atom to which they are attached, form the morpholine ring or the pyrrolidine rlng;

R indicates hydroxyl, halogen, or the lower alkanoyloxy group, especially with 1 to 6 carbon atoms in the alkanoyl moiety; and

n represents the numerals 0, 1, or 2, and the pharmaceutically acceptable, substantially non-toxic acid addition salts of said phenol ethers.

The compounds of Formula I, especially those in which It stands for the numeral 1 and R and R represent methyl, exhibit strong analgesic activity and are in general well tolerated. For instance the ED i.e. the analgesically effective close, after the administration of which 50% of the test animals do no longer react to pain, of the hydrochloride of l-(m-methoxy phenyl)-2-dimethylamino methyl cyclohexanol-( 1), when orally administered, is 11.2 mg./kg. of mice body Weight. The D-L i.e. the dose causing death of 50% of the test animals of said compound, when orally administered, is 395.0 mg./kg.

In addition to said analgesic activity, the compounds of Formula I possess excellent antitussive activity. For instance, when intravenously injected, 2.5 mg. of the above-mentioned compound per kg. of cats body weight inhibit of the mechanically provoked cough reflux. Said cough reflex is also inhibited by intravenous administration of 2.5 mg. of the hydrochloride of l-(m-methoxyphenyl)-2-pyrrolidino methyl cyclohexanol-(l) per kg. of cats body weight to 63%, by intravenous administration of 1 mg. of the hydrochloride of l-(m-benzyloxy phenyl)- 2-pyrrolidino methyl cyclohexanol-(l) per kg. of cats body weight to 65%, and of 2.5 mg. of the hydrochloride of l-(m-methoxy phenyl)-2-[N-methyl-N-(p-phenyl ethyl) amino methylJcyclohexanol-(l) per kg. of cats body weight to respectively.

Furthermore, it was found that some of the Z-basically substituted 1 (m-substituted phenyl) cyclohexanol-(l) compounds of Formula I have a noteworthy antiphlogistic and antihistaminic activity. Tests have also shown that the compounds have an analeptic andanticoryza effect and depress the secretion of the nasal mucosa so that they are useful in human therapy, for instance, in the treatment of bronchitis and of the common cold.

The cycloalkane ring in compounds of Formula I, according to the present invention, contains two carbon atoms, each carrying four different substituents. This configuration causes cis-trans-isomerism. The isomers can be resolved into their optically active forms by methods known per se. The cisand trans-isomers may be separated from each other, for instance, by fractional distillation of the free bases, by recrystallization of their salts, or by other methods known per se.

The new compounds of Formula I are obtained, for instance, by reacting a basically substituted cycloalkanone compound of Formula II wherein R R and n represent the same substituents and numerals as indicated above,

with a phenol ether compound of Formula III III wherein R represents the same substituent as indicated above,

while X represents lithium or the group MgHal wherein Hal represents halogen, in the presence of an ether, preferably a cyclic ether, and hydrolyzing the intermediate thus obtained to yield the compound of Formula I. Said compound may then be converted into its addition salts with acids and/or into its esters with lower alkanoic acids or hydrogen halides.

To esterify said compounds of Formula I with a lower alkanoic acid, they are preferably reacted with halides or anhydrides of said acids.

Reaction of the compounds of Formula II with the compounds of Formula III is preferably carried out at a temperature between 50 C. and +100 C. Hydrolysis of the intermediates is effected by treating the reaction mixture, preferably while cooling, with water which may contain ammonium salts, or with dilute acids.

The following examples serve to further illustrate the present invention without, however, limiting the same thereto. The melting points and boiling points given have not been corrected.

EXAMPLE 1 Five g. of magnesium turnings are added, while stirring, to a mixture of 37.4 g. of m-bromo anisol and 160 ml. of absolute tetrahydrofuran at such a rate that the reaction mixture boils gently due to the heat produced by the immediately starting reaction. Thereafter, the reaction mixture is refluxed, while being stirred, until the magnesium is completely dissolved. The reaction mixture is cooled to between 0 C. and C. and a mixture of 23.25 g. of Z-dimethylamino methyl cyclohexanone and 45 ml. of absolute tetrahydrofuran is added dropwise thereto. The mixture is stirred at room temperature for about 4 hours and is then poured slowly, while stirring, into a mixture of 25 g. of ammonium chloride, 50 ml. of water, and 50 g. of ice. The layers formed thereby are separated and the aqueous layer is extracted twice with 50 ml. of ether each. The organic solvent layers are combined, dried over sodium sulfate, and the solvents are evaporated. The residue is distilled, whereby 1 (m-methoxy phenyl)-Z-dimethylamino methyl cyclohexanol-(l) is obtained in a yield of 78.6% of the theoretical yield. Boiling point: l38-140 C./0.6 mm. Hg. The hydrochloride obtained from said base, for instance, by dissolving it in ether and treating the solution with dry hydrogen chloride, melts at 168- 175 C.

The pharmacological test results given hereinabove on page 5 were obtained with said reaction product which is a mixture of the cisand trans-isomers.

14.7 g. of the above-mentioned hydrochloride are dissolved in ml. of acetic acid anhydride. The solution is heated under reflux for three hours. The solvent is then distilled off in a vacuum. The oily residue is dissolved in acetone. Ether is added thereto until crystallization sets in. The mixture is allowed to stand and the crystals are filtered ofl. Thereby the hydrochloride of l-(m-methoxy phenyl)-1-acetoxy-2-dimethylamino methyl cyclohexane, melting at ISO- C., is obtained.

By using the same amount of propionic acid anhydride and proceeding in the same manner as described above, the hydrochloride of l (m methoxy phenyl) 1 propionoxy 2 dimethylamino methyl cyclohexane of the melting point 198199 C. is obtained.

EXAMPLE 2 Separation of the transand cis-isomers. 500 g. of the hydrochloride of 1 (m methoxy phenyl) 2 dimethylamino methyl cyclohexanol-(l), i.e. of the mixture of the cisand trans-form as obtained according to example 1 are heated under reflux with a mixture of 2,500 ml. of anhydrous dioxane and 25 cc. of water for one hour while stirring. The resulting solution is filtered while still hot. The filter residue is again heated under reflux with 1,250 ml. of anhydrous dioxane and filtered while hot. The filter residue obtained thereby is dried until the dioxane is completely removed therefrom. About 300 g. of the hydrochloride of the pure trans-form, i.e. of the racemic 1(e)- (m methoxy phenyl) 2(e) dimethylamino methyl cyclohexane-1 (a)-01, are obtained thereby. Melting point: -181 C.

The dioxane filtrate yields, on cooling, about 200 g. of white crystals of the melting point 163-165 C. These crystals are a mixture of about 20% to 30% of the cisisomer and about 70% to 80% of the trans-isomer. This mixture cannot be further separated by boiling with dioxane.

The hydrochloride of the pure cis-form, i.e. of the racemic 1(e) (m methoxy phenyl) 2(a) dimethylamino methyl cyclohexane 1(a) 01 is obtained from said mixture by finely pulverizing said 200 g. in a mortar and stirring it with 2000 ml. of dichloro methane at room temperature for one hour. Thereby, the cis-isomer is not dissolved. After filtering the solution and recrystallizing the filter residue by dissolving it in methanol and adding ether thereto until crystallization sets in, the resulting purified cis-isomer has a melting point of 200-201 C.

The dichloro methane filtrate yields, on evaporation, a residue which consists of the substantially pure transisomer.

EXAMPLE 3 Resolving the trans-isomer into its optically active forms 50 g. of the hydrochloride of the racemic 1(e)-(mmethoxy phenyl) 2(e) dimethylaminomethyl cyclohexane-1(a)-ol are dissolved in 200 ml. of Water. Solid sodium carbonate is added thereto until the solution is of strongly alkaline reaction. The alkaline solution is repeatedly extracted with ether, the ether extracts are combined and dried over sodium sulfate. On distilling off the ether, the racemic 1(e) (m methoxy phenyl) 2(e) dimethylamino methyl cyclohexane 1(a) 01 is obtained in the form of an oil boiling at 106-1 10 C./0.01 mm. Hg.

27 g. of said racemic base are dissolved in 100 ml. of acetic acid ethyl ester and the solution is heated under reflux. A solution of 40 g. of dibenzoyl-D-tartaric acid in 200 m1. of acetic acid ethyl ester is added drop by drop thereto. The mixture is heated for two hours. On cooling, 63 g. of dibenzoyl-D-tartaric acid salt of racemic 1(e)- (m methoxy phenyl) 2(e) dimethylamino methyl cyclohexane-1(a)-ol are obtained.

5 g. of said salt are treated under reflux with 50 ml. of acetic acid ethyl ester for 10 minutes. The hot mixture is filtered. 2.0 g. to 2.2 g. remain as undissolved filter residue. They are recrystallized by dissolving in isopropanol and adding ether thereto until crystallization sets in, and represent the pure dibenzoyl-D-tartaric acid salt of 1(e) (m methoxy phenyl) 2(e) dimethylamino methyl cyclohexane 1(a) 01 of the melting point 132- 134 C.; optical rotation [u] =76.2 (in 96% ethanol).

On cooling the acetic acid ethyl ester solution, 2.4 g. of the 'dibenzoyl-D-tartaric acid salt of (+)-l(e)-(mmethoxy phenyl) 2(e) dimethylamino methyl cyclohexane-1(a)-ol are obtained. They are recrystallized from acetic acid ethyl ester. Melting point: 111-114 C.; optica rotation [a] =53 (in 96% ethanol).

The hydrochlorides of the optically active bases are obtained from said optically active dibenzoyl-D-tartaric acid salts in the following manner:

2 g. of dibenzoyl D tartaric acid salt are dissolved in a mixture of 20 ml. of water and 20 ml. of methanol. An excess of a 20% aqueous sodium hydroxide solution is added thereto. The mixture is repeatedly extracted with ether. The combined ether extracts are dried over sodium sulfate. The ether is then distilled off in a vacuum. The resulting residue is dissolved in acetone and is carefully neutralized by the addition of an ethanol solution of hydrogen chloride while cooling with ice. On addition of ether, the hydrochlorides precipitate in the form of hygroscopic crystals. After drying in a vacuum, the optically active crystals are no more hygroscopic.

The hydrochloride of the 1(e) (m methoxy phenyl) 2(e) dimethylamino methyl cyclohexane- 1(a)-o1 has a melting point of 169l70 C.; optical rotation [ot]=28 (in Water).

The hydrochloride of the 1(e) (m methoxy phenyl) 2(e) dimethylamino methyl cyclohexane-1(a)- ol has a melting point of 169-l70 C.; optical rotation [a] =-|27.5 (in water).

When mixing said two optically active hydrochlorides in the proportion 1:1, the resulting mixture corresponds in its melting point and solubility to the racemic starting hydrochloride.

EXAMPLE 4 2.63 g. of the racemic base 1(e)-(m-methoxy phenyl)- 2(e)-dimethyl aminomethyl cyclohexane-1(a)-ol obtained according to example 3, are dissolved in 5 ml. of acetone. 1.16 g. of maleic acid dissolved in 4 ml. of acetone are added thereto. n adding ether to the solution, the maleic acid addition salt of the starting base crystallizes and is filtered ofi. Its melting point is 6870 C.

EXAMPLE Following the procedure described in example 1 but 'using 2.5 g. of magnesium turnings, 18.7 g. of m-bromo anisol, dissolved in 80 ml. of absolute tetrahydrofuran, and 12.7 g. of 2-dimethylamin0 methyl cycloheptanone, dissolved in 25 ml. of absolute tetrahydrofuran, l-(mmethoxy phenyl)-Z-dimethylamino methyl cycloheptanol- (1) is obtained in a yield of 73.8% of the theoretical yield. Boiling point: 120 C./0.003 mm. Hg. Its hydrochloride melts at 177181 C.

In the same manner there are obtained, by reacting mmethoxy phenyl magnesium bromide with the appropriate basic ketones, the following compounds:

EXAMPLE 6 l-(m-Methoxy phenyl)-Z-morpholino methyl cyclohexanol-(l); boiling point: l82-l83 C./0.02 mm. Hg; yield: 43.7%; melting point of the hydrochloride: 231233 C.

EXAMPLE 7 l-(m-Methoxy phenyl)-Z-pyrrolidino methyl cyclohexanol-(l); boiling point: -147 C./0.15 mm. Hg; yield: 55.5%; melting point of the hydrochloride: 174-178" C.

EXAMPLE 8 1 (m Methoxy phenyl) 2 [N-methyl-N-(fi-phenyl ethyl) amino methyl1cyclohexanol-(l) boiling point: 167 C./0.006 mm. Hg; yield 56.7%.

EXAMPLE 9 Five g. of magnesium turnings are treated, while stirring, with a solution of 1 ml. of ethyl bromide in 15 ml. of absolute tetrahydrofuran. A solution of 39.5 g. of m-bromo phenol benzylether in ml. of absolute tetrahydrofuran is added to the warm reaction mixture at such a rate that the mixture boils gently. After refluxing for one further hour, the mixture is chilled to 0 C. to 10 C. A solution of 23.3 g. of Z-dimethylamino methyl cyclohexanone in 45 ml. of absolute tetrahydrofuran is added drop by drop thereto, While stirring. The reaction mixture is then stirred at room temperature for four more hours and is slowly poured into a stirred mixture of 25 g. of am monium chloride, 50 ml. of water, and 50 g. of ice. The layers formed thereby are separated and the aqueous layer is extracted twice with 50 ml. portions of ether. The combined organic solvent layers are dried over sodium sulfate and the solvents are evaporated. On distillation, the resi- I EXAMPLE 10 l-(m-Benzyloxy phenyl)-Z-dimethylamino methyl cycloheptanol-(l), boiling point: l67172 C./0.004 mm.

Hg; yield: 45.3%; melting point of the hydrochloride: 140-143 C. Treatment with thionylchloride yields the hydrochloride of l-(m-benzyloxy phenyl)-l-chloro-Z-dimethylamino methyl cycloheptane, melting at 124-125 C.

EXAMPLE 11 l-(m-Benzyloxy phenyl)-2-pyrrolidino methyl cyclohexanol-(l), boiling point: -178 C./ 0.0002 mm. Hg; yield: 27.4%; melting point of the hydrochloride: 171- EXAMPLE 12 1 (m Benzyloxy phenyl) 2-[N-methy1-N- (fl-phenyl ethyl)amino methyl] cyclohexanol-(l), boiling point: 220-221" C./ 0.001 mm. Hg; yield: 46.6/; melting point of the hydrochloride: 173175 C.

EXAMPLE 13 1 (m-Benzyloxy phenyl)-2-(N-methyl-N-benzylamino methyl) cyclohexanol-(l); boiling point: 208210 C./ 0.001 mm. Hg; yield: 40.1%; metling point of the hydrochloride; 188l90 C.

'7 EXAMPLE 14 l-(m-Benzyloxy phenyl)-2-morpholino methyl cyclopentanol-(l), boiling point; 200-205 C./0.007 mm. Hg; yield: 43.6%; melting point of the hydrochloride: 169- EXAMPLE 15 2.8 g. of small pieces of lithium are added to 150 ml. of absolute ether stored under nitrogen. A few ml. of a solution of 27.5 g. of butyl bromide in 50 ml. of absolute ether are admixed thereto, While stirring. As soon as reaction has set in, the mixture is chilled to 10 C. and the remaining portion of the butyl bromide solution is added dropwise. The reaction mixture is stirred at C. to C. for 2 hours and then chilled to C. to C. While stirring, a solution of 39.5 g. of m-bromo phenol benzyl ether in a mixture of ml. of absolute ether and ml. of absolute tetrahydrofuran, is added slowly. Thereafter, a solution of 23.3 g. of Z-dimethylamino methyl cyclohexanone in 45 ml. of absolute ether is added dropwise thereto. The reaction mixture is stirred at 40 C. for 2 hours. The temperature of the reaction mixture is then allowed to slowly increase to room temperature. The reaction mixture is worked up in the same manner as described in examples 1 and 9. The same product as in example 9 is obtained in a yield of 49.1% of the theoretical yield.

EXAMPLE 16 The procedure is the same as described in example 1. There are used, however, 5 g. of magnesium turnings, 40.2 g. of m-ethoxy bromo benzene dissolved in ml. of absolute tetrahydrofuran, and 23.3 g. of Z-dimethylamino methyl cyclohexanone dissolved in 45 ml. of absolute tetrahydrofuran. I-(m-Ethoxy phenyl)-2-dimethylamino methyl cyclohexanol-(l) is obtained thereby. Its boiling point is 134-135 C./0.02 mm. Hg. Melting point of the hydrochloride: -175 C.

In place of m-bromo anisol, m-bromo phenol benzyl ether, and m-bromo phenol ethyl ether as used as the one reaction component in the preceding examples, there may be employed equimolecular amounts of other m-halogenated phenol ethers such as m-iodo phenyl ethyl ether, m-bromo phenol n-propyl ether, m-bromo phenol isopropyl ether, m-iodo phenol B-phenyl ethyl ether and the like m-halogenated alkyl or aralkyl phenol ethers while otherwise the procedure is the same as described in said examples.

In place of Z-dimethylamino methyl, 2-morpholino methyl, 2-pyrrolidino methyl, Z-[N-methyl-N-(fl-phenyl ethyl) amino methyl], 2-(N-methyl-N-benzylamino methyl) cyclopentanones, cyclohexanones, or cycloheptanones used in the preceding examples, there may be employed equimolecular amounts of cyclopentanones, cyclohexanones, or cycloheptanones which are substituted in 2- position by the diethylamino methyl, di-n-propylamino methyl, di-isobutylamino methyl, dipentylamino methyl, dihexylamino methyl, N-methyl-N-ethylamino methyl, dibenzylamino methyl, di-{i-phenyl ethylamino methyl, N- butyl-N-benzylamino methyl, and the like basic groups while otherwise the procedure is the same as described in said examples.

The hydroxyl group attached to the cycloalkyl ring in l-position may be converted into the bromo, iodo, fluoro substituent or into the formyloxy, propionyloxy, butyroyloxy, valeroyloxy, and the like lower alkanoyloxy groups by halogenating or acylating agents according to methods known per se.

As stated herein-above, the new cycloalkyl-substituted phenol ethers having a basic group attached to the cycloalkyl ring as well as their esters with hydrogen halides or lower alkanoic acids can be converted into their acid addition salts. In addition to the hydrochlorides and maleate described hereinabove, other acid addition salts with pharmaceutically acceptable, substantially non-toxic inorganic and organic acids, such as nitric acid, sulfuric acid, phosphoric acid, hydrobromic acid, acetic acid, propionic acid, malonic acid, succinic acid, citric acid, tartaric acid, malic acid, benzoic acid, salicylic acid, phthalic acid, nicotinic acid, and others may also be prepared according to conventional methods of producing such acid addition salts.

Pharmacological tests were carried out with the compounds according to the present invention and with the above-mentioned known compounds of similar structure, especially with the compound designated as Nu-640 by Foster et al. and disclosed by Lee in Medicinal Chemistry, Lee et al., and Foster et al. as mentioned hereinabove. The following Table I represents the results obtained on testing the compounds for their analgesic and antitussive activity as well as for their toxicity. The therapeutic index, i.e. the quotient 5O, ao

TABLE I Thera- Antitussivo Toxicity LD u peuiic Analgesic activity No. EDso (mice) 1 l-(m-rnethoxyphenyl)-2-piperidino methyl About mgJkg.

cyclohexanol-(l); Compound Nu 640 of on oral administra- Foster et al. tion; Convulsionsl With 50 mgJkg. no

effect on oral administration.

With 50 mgjkg. no

effect on oral administration.

50 mgJkg. on oral administration.

100 mgJkg. Convulsions! 11.2 mg./kg. on oral administration.

Compound 2 1-phenyl-2-dimethylamino methyl cyclohexanol-(l). Unaeylated compound (0) (1) of Slomka et al.

3 Propionic acid ester of No. 2. Next higher homologue of the Slomka et al. compound (C) (1).

Acetic acid ester of 1phenyl-2-diethylaminomethyl cyclohexanol-(l). Compound (C)(2) oi Slomka et a1.

5 l-(p-methoxy-phenyl)-2-pyrrolidino methyl cyclohexanol-(l) 6 l-(rn-methoxyphenyl)-2-dimethylamino methyl cyclohexanol-(l). Compound of Example 1; mixture of cisand transisomers.

7 Racemic 1(e)-(m-methoxy pheny1)-2(e)- 9.2 mgJkg. on oral dimethylamino methyl cyclohexane-l administration 10.3 (a)-ol. Compound of Example 2; transmg./kg. on subisomer. cutan. administration.

Between 50 111 .[kg.

and 100 mgfirg. on subcutan. administration.

9.5 mgJkg. on oral administration 6.0 mgJkg. on subcut. administration.

8 Raeemic 1 (e)-(m-methoxy phenyl)-2(a)- dimethylamino methyl cylohexane-l(a)- 01. Compound of Example 2; sis-isomer.

9 (+)-l(e)-(m-rnethoxy phenyl)-2(e)-di niethyl-aminomethyl cyelohexane-1(a)- 0]. Compound of Example 3; D-iorm of trans-isomer.

activity (cats) 1.0 mgJkg. no efiect; 10 mg./kg. slight inhibition; toxic side-etiects.

0n i.v. administration of 2.5 mgJkg. no effect.

On i.v. administration of 2.5 mgJkg. no etiect.

Not determined.

(mice) 68 mgJkg index No effect 75% inhibition on i.v. administration of 2.5 mg.lkg.

895 mgJkg. on oral administration.

61 mgJkg. on i.v. ad-

ministration.

425 mg./kg. on oral administration 45 rngJkg. on i.v. administration.

TABLE I-Continued There- Analgesic activity Antitussive Toxicity LDsD peutic No. Compound EDso (mice) activity (cats) (mice) index 10..-" (-)-1(e)-(m-methoxy phenyl)-2(e)-di- 77 mgJkg. on oral 465 mgJkg. on oral 6 methyl amino methyl cyclohexane-1(e)- administration. 63 administration 57 01. Compound of Example 3, L-form of mgJkg. on subcut. mgJkg. on i.v. trans-isomers. application. administration. 11 l-(m-methoxy phenyD-Z-morpholino 54% or, resp., 62%

methyl cyclohexanol-(l) of Example 6. cough inhibition on intravenous administration of 1 mg./

kg. or resp., 2.5 v mgJkg. 12... l-(m-methoxy phenyD-2-pyrrohdmo 47% or, resp., 61%

methyl cyclohexanol-(l) of Example 7. cough inhibition on intravenous administration of 1 mg./ kg. or resp., 2.5 mg.[kg. 13 l-(m-ethoxy phenyD-Z-dImethyIaminO About 30 mgJkg.

methyl cyclohexanol-(l) of Example 16. 14... I-(m-methoxy phenyl)-2-dimethylamino 50 mgJkg.

methyl cycloheptanol-(l) of Example 5. 15 l-(m-benzyloxy phenyl-2-dimethylamino -50 mg./kg.

methyl cyclohexanol-(l) of Example 9. 16.--. 1-(m-benzyloxyphenyl)-2-dimethylamino cough inhibition methyl cycloheptanol-(I) of Example 10. on intravenous administration of 1 17 l-(m-benzyloxyphenyl)-2-[N-methyl-N- 72% cough inhibition (B-phenyl ethyl) amino methyl] cyeloon intravenous adhexanol-(l) of Example 12. minlilsitration of 1 mg. g. 18.- l-(m-benzyloxy phenyl)-2-pyrrolidino inhibition on i.v. methyl cyclohexanol-(l) of Example 11. adnfiznistration of 1 mg. g. 19 l-(m-methoxy phenyD-Q-N-methyl-N-(B- 50% inhibition on i.v. phenyl ethyl) amino methyl cyclohexadministration of 1 anal-(1) of Example 8.

mg. /l (g., inhibition on i.v. administration of 2.5 mgjkg.

l Estimated.

it is evident that the compounds according to the present invention have a high analgesic activity and a low toxicity so that their therapeutic index is very substantially higher than that of the known compounds described by Lee, Foster et al., and Slomka et al.

In addition thereto most of the compounds according to the present invention have an excellent antitussive activity.

Furthermore, the compounds of this invention and especially l-(m-methoxy phenyl)-2-dimethylamino methyl cyclohexanol(1) and its trans-isomer do not affect respiration and blood circulation while the known compound designated asNu-6-40 causes depression of respiration and 4 a considerable decrease in blood pressure. The compound according to this invention does not produce any change in the electroencephalogram.

Tests carried out with guinea pigs which are subjected to ultraviolet irradiation until erythema formation show that intramuscular injection of 10 mg./ kg. of the transisomer of l-(m-methoxy phenyl)-2-dimethylamino methyl cyclohexanol-(l) causes complete suppression of the erythema up to five hours after irradiation. In contrast thereto the known compound Nu-640 is without eifect under these conditions when the same dose is administered. Thus the compound according to this invention exhibits a pronounced antiphlogistic and anti-inflammatory effect.

Further pharmacological tests with mice and rats indicate that the compounds according to the present invention and especially the trans-isomer of l-(m-methoxy phenyl)-2-dimethylaminomethyl cyclohexanol-(l) do not cause addiction, i.e., drug dependence, and that they have a low degree of tolerance, i.e. that the dose is to produce the same degree of physiological effect need not be increased on repeated administration.

The new compounds are administered orally in the form of powders, tablets, drages, lozenges, or other solid shaped or liquid preparations. Parenteral and especially intramuscular or intravenous administration in the form of aqueous solutions of their water soluble acid addition salts or of suspensions of the free bases, and rectal administration in the form of suppositories and the like is also possible.

Preparations to be administered orally are obtained,

for instance, by diluting the active compounds with a solid pulverulent extending agent or pharmaceutical carrier to form an intimate mixture thereof. The components of said mixture are, for instance, intimately mixed in a ball mill or the like device to the desired degree of fineness, or the finely powdered solid carrier is impregnated with a solution of said compound in water or in other suitable solvents, whereafter the water or solvent is removed by evaporation, preferably while milling.

Tablets, pills, drages, and the like compressed and shaped'preparations are prepared by using the commonly employed diluting agents, binders and the like additives, such as sugar, lactose, talc, starch, bolus alba, pectin; as binders gelatin, gum arabic, methyl cellulose, yeast extract, agar tragacanth; as lubricants, stearic acid, magnesium stearate, and others. 7

The following examples serve to illustrate compositions containing the new cycloalkanol substituted phenol ethers with a basic group in the cycloalkanol ring according to the present invention as they are used in therapy without, however, limiting the same thereto.

EXAMPLE 17 50 g. of the hydrochloride of l-m-methoxy phenyl-2- dimethylamino methyl cyclohexanol-(l) obtained according to Example 1 and representing the mixture of the transand cis-isomers and designated hereinafter as compound A, are intimately mixed with 338 g. of starch, 144 g. of lactose, and 4 g. of o-benzoic acid sulfimide sodium. The-mixture is granulated with g. of a 10% aqueous starch paste. The moist granulate is passed through a '1 mm. sieve, dried at 40 C., and again passed through such a sieve. The resulting granulate is mixed with 20 g. of starch, 9 g. of talc, and 1 g. of magnesium stearate. Said mixture is tabletted to tablets of 590 mg., each and a diameter of 13 mm. Each tablet contains 50 mg. of the active agent.

EXAMPLE 18 Capsules, each containing 75 mg. of the hydrochloride of the racemic 1(e)-(m-methoxy phenyl)-2(e)-dimethyl amino methyl cyclohexane-1(a)-ol obtained according to Example 2 and designated hereinafter as compound B, are

prepared by intimately mixing 75 g. of said compound with 38.5 g. of dicalcium phosphate, 1.25 g. of liquid parafiin (German Pharmacopeia VI) and 0.25 g. of magnesium stearate, sieving said mixture, and filling 115 mg. of said mixture into each gelatin capsule.

EXAMPLE 19 EXAMPLE 20 197.5 g. of cocoa butter or the same amount of a synthetic suppository base are molten and triturated with 2.5 g. of compound B. The mixture is poured into suppository molds each containing 2 g. of the mixture, and the mold is cooled to solidify the suppositories. Each suppository cotains 25 mg. of the active compound.

EXAMPLE 21 50 g. of the hydrochloride of (+)-1(e)-(rn-methoxy phenyl)-2(e)-dimethylamino methyl cyclohexane-l (a)-ol obtained according to Example 3 and designated hereinafter as compound C, 260 g. of starch, 96 g. of lactose, and 4 g. of o-benzoic acid sulfimide sodium granulated, sieved and dried at 40 C. as described in Example 17. The granulate is mixed with 20 g. of starch, 9 g. of talc, and 1 g. of magnesium stearate and pressed to tablets of 450 mg. each and of a diameter of 12 mm. serving as drage cores. These cores are sugar coated in the conventional manner to yield drage, each containing 50 mg. of compound C.

EXAMPLE 22 2.0 .g. of compound B and 2 g. of sodium citrate are dissolved in 200 ml. of water. The resulting solution is filtered to remove fibers and is filled in ampoules containing 10.0 mg. of the active compound B per ml. The filled ampoules are sterilized by heating to 120 C. The resulting solution is used for administration by intramuscular injection.

Of course, by variation and calculation of the ingredients tablets and other compositions are prepared containing lower or higher amounts of the essential active agents as desired. For instance, the tablets of Example 17 may contain 25 mg., 75 mg. or 100 mg. of compound A, the gelatin capsules of Example 18 25 mg., 75 mg. or 100 mg. of compound B, the dragees of 'Example 21 25 mg., 75 mg. or 100 mg. of compound C, or the injectable solutions of 'Example 22 2.5 mg., mg., 25 mg., or 50 mg. of compound B. As is evident from Examples 17 to 22, the essential active ingredient is incorporated into dosage unit forms, each containing a calculated amount of the essential active ingredient to provide the particular desired therapeutic effect. Generally the unit dosage forms are prepared by suitable admixing with a pharmaceutical carrier, either solid or liquid, which constitutes a major amount of the dosage unit form as described, for instance, in Examples 17 to 22.

The particular form of the above given compositions of Examples 17 to 22 and the like preparations in which the essential active ingredient is administered orally, rectally, intramuscularly, intravenously or otherwise is formulated and prepared to supply an effective amount of the said ingredient for the desired therapeutic effect, for instance, analgesic action, antitussive action, and others, especially without deleterious tolerance and addiction liability.

Extensive clinical tests have been carried out with the compositions of Examples 17 to 22 containing the compounds of Examples 1 to 3, i.e. the hydrochloride of the mixture of transand cis-isomers of l-(m-methoxy phenyl-)-2-dimethylarnino methyl cyclohexanol-( 1) and the hydrochloride of the trans-isomer the 1(e)-(m-methoxy phenyl)-2(e) dimethylamino methyl cyclohexane-l (a)-ol. Numerous patients were treated for the following indications: Headaches, Pain due to wounds, Pain due to fractures, Carcinoma and metastases, Backaches, Peripheral circulatory disturbances, Pain due to arthrosis, New ralgiform and neuritic pain. Abdominal pain, Pain due to acute rheumatism, Preoperatively in place of opiates, Neuritis diabetica, Lumbago and myalgias, Toothache, Pain due to pneumonia and pleuritis, Dyamenorrhea and pain post partum, Stenocardic pain. Most of these patients were seriously ill.

Oral administration of single doses between about 25 mg. and about 100 mg. and preferably of 50 mg. or mg. and a daily dose between mg. to 600 mg. and intramuscular administration of single doses between about 10 mg. and about 50 mg. and preferably of 2 times 25 mg. in preparation for operations and to combat postoperative pain and up to 4-8 times 25 mg. daily in intervals has proved to be highly effective.

Substantially no side-effects and especially no effect on blood pressure, pulse rate, liver function, and respiration was observed. Of special value is the observation that these compounds do not cause fatigue and tiredness and thus do not affect the ability of the treated patient, for instance, to drive a car or to cope with the problems of modern trafiic.

It was also found in clinical tests on children and adults that the compounds according to the present invention have a noteworthy anticoryza effect, i.e. that they decrease the secretion of the nasal mucosa and thus that they are useful as anticold remedies. The doses administered are about the same as given hereinabove.

The compounds according to the present invention have also proven to be of considerable therapeutic value when used in combination with other therapeutically active agents whereby frequently a synergistic effect is observed. Especially valuable combinations are those with other analgesics such as with acetylsalicylic acid, phenacetin, or the like; with other antiphlogistic and antiinflammatory agents, such as with phenyl butazone, or the like; with analeptics such as with caffeine and amphetamine, or the like; with antihistaminic agents, such as with pyribenzamine, diphenylhydramine salicylate, chlorphenirimine maleate, and others, with spasmolytic agents, such as the methosulfate of (l-methyl piperidyl-2)-methyl benzilate, atropine sulfate, or the like; with muscle relaxants, such as with mephenesin, phenaglycodol, or the like; with sedative agents, such as barbituric acid derivatives, for instance, phenobarbitol, with chlorpromazine or the like.

The following example illustrates the composition of such combination preparations without, however, limiting the same thereto.

EXAMPLE 23 Tablets which are composed as follows are compared in the conventional manner:

25 mg. of the hydrochloride of racemic l(e)-(m-methoxy phenyl)-2(e)-dimethylamino methyl cyclohexane-1(a) 0 30 mg. of pentobarbital sodium,

250 mg. of ethoxy benzarnide, and

250 mg. of p-acetamina phenol.

Of course, many changes and variations in the starting materials and reaction components, in the reaction conditions, temperature, and duration, in the methods used for isolating and purifying the reaction products and for converting them. into their esters and acid addition salts, and the like may be made by those skilled in the art in accordance with the principles set forth herein and in the claims annexed hereto.

We claim:

1. A method of providing analgesic and antitussive effects in a patient which method comprises administering to patients an analgesic effective dose of a pharmaceutical composition comprising, as essential agent, the phenol ether compound selected from the group consisting of the cycloalkanol-substituted phenol ether compound having a basic group in its cycloalkyl ring, said compound being of the Formula CHzN wherein R indicates a member selected from the group consisting of alkyl with 1 to 3 carbon atoms and phenyl lower alkyl;

R and R indicate members selected from the group consisting of alkyl with 1 to 6 carbon atoms, phenyl lower alkyl, and R and R together with the nitrogen atom to which they are attached, forming the morpholine ring and the pyrrolidine ring;

R indicates a member selected from the group consisting of hydroxyl, halogen, and the lower alkanoyloxy group; and

n indicates the numerals from 0 to 2; and its pharmaceutically acceptable, substantially non toxic acid addition salt.

2. The method of claim 1 of providing analgesic and antitussive effects in analgesic patient which method comprises administering to patients an analgesic efiective dose of a pharmaceutical composition comprising, as essential agent, the compound selected from the group consisting of the racemic l(e)-(m-methoxy phenyl) 2(e)-dimethylamino methyl cyclohexane-l(a)-ol and its pharmaceutically acceptable, substantially non-toxic acid addition salt.

3. The method of claim 1 of providing analgesic and antitussive effects in a patient which method comprises administering to patients an analgesic effective dose of a pharmaceutical composition comprising, as essential agent, the compound selected from the group consisting of the (+)-l(e) (m-methoxy phenyl) -2(e)- dimethylamino methyl cyclohexane-1(a)-ol and its pharmaceutically acceptable, substantially non-toxic acid addition salt.

4. The method according to claim 1, wherein the effective single dose on oral administration is between about 25 mg. and about 100 mg. and the effective daily dose is between about 100 mg. and about 600 mg.

5. The method according to claim 1, wherein the effective single dose on parenteral administration is between about 10 mg. and about 50 mg. and the effective daily dose is between about 50 mg. and about 200 mg.

6. Pharmaceutical composition containing, as essential therapeutic agent in an analgesically effective amount, the phenol ether compound selected from the group consisting of the cycloalkanol-substituted phenol ether compound having a basic group in its cycloalkyl ring, said compound being of the (Formula wherein R indicates a member selected from the group consist ing of alkyl with 1 to 3 carbon atoms and phenyl lower alkyl;

R and R indicates members selected from the group consisting of alkyl 'with 1 to 6 carbon atoms, phenyl lower alkyl, and R and R together 'with the nitrogen atom to which they are attached, forming the morpholine ring and the pyrrolidine ring;

R; indicates a member selected from the group consisting of hydroxy, halogen, and the lower al'kanoyloxy group; and

It indicates the numerals from 0 to 2; and its pharmaceutically acceptable, substantially nontoxic acid addition salt, and a pharmaceutical carrier.

7. Pharmaceutical composition of claim 6 containing, as essential therapeutic agent in an analgesically effective amount, the compound selected from the group consisting of the racemic 1(e)-(m-methoxy phenyl)-2(e)-di-methylamino methyl cyclohexane-1(a)-ol and its pharmaceutically acceptable, substantially non-toxic acid addition salt, and a pharmaceutical carrier.

8. Pharmaceutical composition of claim 6 containing, as essential therapeutic agent in an analgesically effective amount, the compound selected from the group consisting of the (+)-1(e)-(m-Methoxy phenyl)-2(e)-dimethylamino methyl cyclohexane-1(a)-ol and its pharmaceutically acceptable, substantially non-toxic acid addition salt.

9. Pharmaceutical composition of claim 6 in dosage unit form containing as essential therapeutic agent, between about 25 mg. and about mg. of the phenol ether compound selected from the group consisting of the cycloalkanol-substituted phenol ether compound having a basic group in its cycloalkyl ring, said compound being of the Formula ORi wherein R indicates a member selected from the group consisting of alkyl with 1 to 3 carbon atoms and phenyl lower alkyl;

R and R indicate members selected from the group consisting of alkyl with 1 to 6 carbon atoms, phenyl lower alkyl, and R and R together with the nitrogen atom to which they are attached, forming the morpholine ring and the pyrrolidine ring;

R; indicates a member selected from the group consisting of hydroxyl, halogen, and the lower alkanoyloxy group; and

n indicates the numerals from O to 2;

0 and its pharmaceutically acceptable, substantially non- 15 16 (m-methoxy phenyl)-2(e)-dimethylamino methyl cyclo- References Cited hexane-1(a)-ol, and its pharmaceutically acceptable, sub- UNITED STATES PATENTS stantially non-toxic acid addition salt, and a pharmaceutical carrier.

11. Pharmaceutical composition of claim 6 in dosage unit form containing, as essential therapeutic agent, be- 5 STANLEY FRIEDMAN Pnmary Examiner tween about 25 mg. and about 75 mg. of the compound U S C1 XR selected from the group consisting of the (+)-l (e)-(m- 424 248 274 311 methoxy phenyl) 2(e) dimethylamino methyl cyclohexane-1(a)-ol, and its pharmaceutically acceptable, sub- 10 stantially non-toxic acid addition salt, and a pharmaceutical carrier.

3,100,205 8/1963 Schulte et al. 200--247.2

UNITED STATES PATEN OFFICE CERTIFICATE OF CORRECTION Patent No- 3.33o,9.34 v Dated "Au ust 20, 1974 Inventm-(s) Kurt Flick and Ernst Frankus It is certified that error appears intheabove-identified patent and that said Letters Patent are hereby corrected as shown below:

In column 1, after line 11, insert Claims priority, application Germany, filed April 2, 1963, 029547 IV b /lZQ and application Germany, filed April 2, 1963, C29 548 IVd/l2p.

Signed and sealed this 17th day of December 1974.

(SEA

Attest:

McCOY M. GIBSON JR. c. MARSHALL DANN Attesting Officer Commissioner. of Patents FORM ponoso (IO-69) USCOMM-DC scan-ps9 9 L5. GOVII NIINT PRINTING OFFICE l9" O-JQ-l 

